It has been argued that the worldwide prevalence of certain types of geometric visual patterns found in prehistoric art can be best explained by the common experience of these patterns as geometric hallucinations during altered states of consciousness induced by shamanic ritual practices. And in turn the worldwide prevalence of these types of hallucina- tions has been explained by appealing to humanity’s shared neurobiological embodiment. Moreover, it has been proposed that neural network activity can exhibit similar types of spatiotemporal patterns, especially those caused by Turing instabilities under disinhibited, non-ordinary conditions. Altered states of consciousness thus provide a suitable pivot point from which to investigate the complex relationships between symbolic material culture, first-person experience, and neurobiology. We critique prominent theories of these relationships. Drawing inspiration from neurophenomenol- ogy, we sketch the beginnings of an alternative, enactive approach centered on the concepts of sense-making, value, and sensorimotor decoupling.